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					       Achievement of Competencies in Higher and
         Advanced Level Obstetric Anaesthesia
The following recommended activities have been mapped to the 2010 Curriculum for CCT in
Anaesthetics http://www.rcoa.ac.uk/index.asp?PageID=1479

Attainment of these will go a significant way to attaining a sign-off for Higher or Advanced
Level training. Other competencies are more directly clinical and should be achievable during
the clinical placement.

These selected activities have been chosen as they may require some forward
planning/thought on the part of the trainee. Most of the activities should be completed
during the obstetric block of training, but some can be attained outside this period within a
reasonable timescale e.g. attendance at a maternal resuscitation course.

To be used in conjunction with ‘Annex D Higher Level Training’ (Page D21-22) & Annex E
Advanced Level Training’ (E51-52) respectively.
http://www.rcoa.ac.uk/index.asp?PageID=1479

Maternal and neonatal Resuscitation:
It has been noted that neither of these feature in the 2010 Curriculum for Higher or Advanced
training in Obstetric Anaesthesia and although there is a compulsory unit in Resuscitation as
part of the General Duties Unit it does not specify maternal or neonatal cases. We have
highlighted this to the RCA.
We believe that for trainees performing Higher or Advanced training in obstetric anaesthesia
it is an important area of training and should be covered – potential ways of achieving this
have been included and we are planning to instigate a regional simulator course to cater for
this, but it will take time to develop.




Higher/AdvancedCompetencies2010.IRT.PM
                                   Higher Level Training
    Trainee Name:

    A minimum of 20 sessions with appropriate supervision is required for sign-off.

Competence           Activity                                               Sessions Date      Signed off by(Cons/SAS)
OB_HK_01             Shadow Obstetrician on LW                              1
                     Shadow senior midwife on LW                            1
OB_HK_02             Familiarity with current topics as
                     evidenced by for example updating current guideline,
                     performing audit, presenting obstetric controversies
                     locally/regionally or case report leading to
                     presentation/poster/publication
                     At least one of the above examples
                     (or similar) must be achieved
OB_HS_01             Anaesthetic Assessment Clinic                          2
OB_HS_02
OB_HS_03             Run LW during daytime                                  6
OB_HS_11             Teach midwives/PAM                                     1
OB_HS_12             Teach/supervise junior trainee                         1
OB_HS_13             Attend risk/perinatal mortality                        1
                     meeting
                     Participate in local audit

*                     Attend WOA Annual Meeting               1
*                     Attend maternal & neonatal
                      resuscitation training:
                      ALSO, PROMPT, MOET or local
                      simulator-based training
          It is acceptable for these to be performed outside the module of training, but need to
           be completed for sign-off.


                                                       Sessions
      Date         Sign                                Date             Sign            Date          Sign
 1                                            11                                   21
 2                                            12                                   22
 3                                            13                                   23
 4                                            14                                   24
 5                                            15                                   25
 6                                            16                                   26
 7                                            17                                   27
 8                                            18                                   28
 9                                            19                                   29
10                                            20                                   30




    Higher/AdvancedCompetencies2010.IRT.PM
                                  Advanced Level Training
    Core Clinical Learning Outcomes:
       To be capable of undertaking the perioperative care for a wide variety of complex obstetric cases & list
        management independently; this implies ability to:
         Provide perioperative anaesthetic care to a wide range of obstetric cases performed both in the labour
            ward and theatre, demonstrating a fundamental understanding of the problems encountered
         Show the decision making & organisational skills required of an anaesthetist to manage busy labour
            ward and operating sessions, ensuring that the care delivered is safe and timely, benefiting both patients
            and the organisation
         To assist colleagues in decisions about the suitability of surgery in difficult situations
         Provide teaching to less experienced colleagues of all members of the multi-disciplinary team


    Trainee Name:
Competence              Activity                                        Sessions   Date       Signed off by(Cons/SAS)
OB_AK_02                Shadow Obstetrician on LW                       2
                        Shadow senior midwife on LW                     2
                        NNU or shadow paediatric                        1
                        input to LW
OB_AK_03                Attend High Risk ANC                            2
                        Attend fetal assessment clinic                  1
OB_AK_04                Familiarity with current topics
                        as evidenced by for example updating current
                        guideline, performing audit, presenting
                        obstetric controversies locally/regionally or
                        case report leading to
                        presentation/poster/publication
                        At least two of the above
                        examples (or similar) must be
                        achieved at each centre
OB_AK_04                Anaesthetic Assessment Clinic                   6
CCLO                    Attend risk/perinatal mortality                 2
                        meeting
CCLO                    Run LW during daytime                           16
CCLO                    Teach midwives/other                            2
                        professional groups

*                    Attend WOA Annual Meeting 1
                     Attend WOA eve/pm meeting          1
*                    Attend maternal & neonatal
                     resuscitation training:
                     ALSO, PROMPT, MOET or
                     local simulator-based training
                     Membership of the OAA is highly
                     recommended and would undoubtedly be
                     seen as favourable for those considering
                     ‘obstetric anaesthetic’ Consultant jobs
  * It is acceptable for these to be performed outside the module of training, but need to be
  completed for sign-off.
  CLO = Core Clinical Learning Outcome

    N.B. The above activities should ideally be split equally between the two centres.

    Higher/AdvancedCompetencies2010.IRT.PM

				
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posted:9/8/2012
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